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HHS/CMS RIN: 0938-AU00 Publication ID: Spring 2023 
Title: Streamlining the Medicaid, CHIP, and BHP Application, Eligibility Determination, Enrollment, and Renewal Processes (CMS-2421) 
Abstract:

This rule implements changes to simplify the processes for eligible individuals to enroll and retain eligibility in Medicaid, the Children's Health Insurance Program (CHIP), and the Basic Health Program (BHP).  The changes will be finalized in two rules.  The first final rule will remove barriers and facilitate enrollment of new applicants, particularly those dually eligible for Medicare and Medicaid.  The second final rule will follow in CY 2024 and implement changes to align enrollment and renewal requirements for most individuals in Medicaid; establish beneficiary protections related to returned mail; create timeliness requirements for redeterminations of eligibility in Medicaid and CHIP; make transitions between programs easier; eliminate access barriers for children enrolled in CHIP by prohibiting premium lock-out periods, waiting periods, and benefit limitations; and modernize recordkeeping requirements to ensure proper documentation of eligibility and enrollment.

 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: Yes  Unfunded Mandates: No 
CFR Citation: 42 CFR 431    42 CFR 435    42 CFR 457    42 CFR 600   
Legal Authority: 42 U.S.C. 1302   
Legal Deadline:  None
Timetable:
Action Date FR Cite
NPRM  09/07/2022  87 FR 54760   
NPRM Comment Period End  11/07/2022 
1st Final Action  09/00/2023 
2nd Final Action  02/00/2024 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: Local, State 
Federalism: No 
Included in the Regulatory Plan: Yes 
RIN Data Printed in the FR: No 
Agency Contact:
Sarah Delone
Deputy Director, Children and Adults Health Programs Group
Department of Health and Human Services
Centers for Medicare & Medicaid Services
S2-01-16, Center for Medicaid and CHIP Services, MS: S2-01-16, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-5647
Email: sarah.delone2@cms.hhs.gov